DIANE WALLACE

EUGENE, OR
NPI1497113286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-08
Last Update Date2019-03-29
Business Address
DIANE WALLACE CADC II
605 W 4TH AVE
EUGENE, OR 97402-5022
Phone number: 541-762-4575
Mailing Address
DIANE WALLACE CADC II
687 CHESHIRE AVE
EUGENE, OR 97402-5060
Phone number: 541-684-4148
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